- Enter and validate procedures and diagnosis based on documentation obtained from patient records.
- Review clinical documentation and validate ICD/CPT Codes when necessary and applicable.
- Assist with coding audits as necessary/needed.
- Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPS codes.
- Validate and verify data entered by reviewing reports for errors and correcting as necessary.
- Collaborate with managers in assigned areas and provide feedback regarding documentation issues or reoccurring errors.
- Ensure timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence through appropriate research and appeal processes.
- Resolve claim rejections, underpayments, and denials with appropriate payer and initiate collection follow-up of unpaid or denied claims, interpreting remittances to determine appropriate course of action.
- Identify and respond to patterns of denials or billing practices and perform complex account investigation as needed, to achieve resolution.
- Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system, ensuring progress is made on outstanding accounts.
- Coordinate third party collections and work toward the successful reduction in outstanding balances for assigned divisions or projects.
- Maintain patient confidentiality according to compliance policies and HIPPAA.
- Respond to inquiries from insurance carriers via telephone, email and/or fax, demonstrating a high level of customer service.
- Review and resolve uncollected accounts and prepare charge corrections and write offs.
- Special projects as assigned.
- Excellent problem-solving skills
- Detail oriented and organized
- Able to multi-task and work quickly, with constantly changing circumstances and priorities
- Ability to establish and maintain effective working relationships with patients, management, employees, and the public.
- Demonstrated ability to read and interpret EOB's (Explanation of Benefits) and insurance contractual adjustments
- Strong computer skills
- Able to prioritize assignments and work under minimal supervision
- Ability to handle a high volume of work with speed and accuracy
- Proven ability in collections and negotiation
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Specialist, Software Engineer with Security Clearance
Found in: Dice One Red US C2 - 4 days ago
L3Harris Technologies Colorado Springs, CO, United StatesSr · Specialist, Software Engineer - Secret Job Code: 10638 Job Location: Colorado Springs, CO Job Description: As the premier provider of Space Domain Awareness (SDA) mission solutions for the United States Space Force, L3Harris is looking for a candidate to develop and maintain ...
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Sr. Specialist, Software Engineer
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L3Harris Technologies Colorado Springs, CO, United States Temps pleinSr. Specialist, Software Engineer · Job Code: 10648 · Job Location: Colorado Springs, CO · Job Description: · This is an opportunity to join a great team of talented professionals with world-class technical expertise who take a collaborative approach to software engineering an ...
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Specialist Technical Writing
Found in: Dice One Red US C2 - 2 days ago
L3Harris Technologies Colorado Springs, United StatesJob Title: Senior Specialist, Technical Writing Job Code: 10854 Job Location: Colorado Springs, CO Job Description: L3Harris Technologies Inc. is seeking an experienced Technical Writer to join our team in supporting Technical Order development activities for the Advanced Trackin ...
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Specialist, Technical Writer
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L3Harris Technologies Colorado Springs, CO, United States Temps pleinJob Title: Specialist, Technical Writer · Job Code: 10487 · Job Location: Colorado Springs · Job Description: L3Harris Technologies Inc. is seeking an experienced Technical Writer to join our team in supporting Technical Writing and Technical Training development activities for t ...
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Principal Investigator
Found in: Dice One Red US C2 - 4 days ago
Arcfield Colorado Springs, CO, United StatesOverview Arcfield is a leading provider of full lifecycle, mission-focused systems engineering and integration capabilities to the U.S · government and its allies · The company has more than 60 years of proven experience providing advanced engineering and analysis, IT and C5ISR c ...
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Aerospace Engineer with Security Clearance
Found in: Dice One Red US C2 - 3 days ago
Arcfield Colorado Springs, United StatesOverview Arcfield is a leading provider of full lifecycle, mission-focused systems engineering and integration capabilities to the U.S. government and its allies. The company has more than 60 years of proven experience providing advanced engineering and analysis, IT and C5ISR cap ...
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Regional EHS Manager
Found in: Lensa US 4 C2 - 6 days ago
CPS Colorado Springs, United StatesPosted: · 05/16/2023 · Industry: · Environmental, Health & Safety · Job Number: · 51.23NM · Experience: · Job Description · Regional EHS Manager/EHS Manager/Multisite Responsibility/Environmental, Health, and Safety Manager/EHS/Environmental/Health/Safety/Engineering/Chemi ...
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Telecommunications Systems Engineer with Security Clearance
Found in: Dice One Red US C2 - 4 days ago
Yulista Holding, LLC. Colorado Springs, CO, United StatesDSoft Technology Company Regular Primary Function This position is contingent upon contract award · DSoft Technology is looking for a Senior Telecommunications Systems Engineer to lead a small team supporting a federal agency with telecommunications programs for users of VoIP, vo ...
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Specialist, Satellite and Ground System Operator
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L3Harris Technologies Colorado Springs, CO, United StatesJob Title: Specialist, System Engineer - Satellite and Ground System Operator Job Code: 9508 Job Location: Colorado Springs, CO (Schriever SFB, CO) Job Description: L3Harris is looking for an experienced Satellite and Ground System Operator to join our team and perform real-time ...
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Psychologist - $72 per
Found in: ZipRecruiter Test30 US C2 - 2 days ago
Matrix Providers Colorado Springs, United StatesJob Description · Matrix Providers is seeking a Psychologist for a job in Colorado Springs, Colorado. · Job Description & RequirementsSpecialty: Psychologist · Discipline: Therapy · Duration: Ongoing · 40 hours per week · Shift: 8 hours · Employment Type: Staff · Matrix Providers ...
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Specialist, Software Engineer
Found in: Dice One Red US C2 - 4 days ago
L3Harris Technologies Colorado Springs, CO, United StatesJob Title: Specialist, Software Engineer (Full-Stack) - TS/SCI Clearance Job Code: 10338 Job Location: Chantilly, VA, or Colorado Springs, CO Job Description: L3Harris Technologies is looking for self-starting, team-oriented Full-Stack Application Software Engineers, to join a dy ...
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Aerospace Software Engineer with Security Clearance
Found in: Dice One Red US C2 - 4 days ago
Arcfield Colorado Springs, CO, United StatesOverview Arcfield is a leading provider of full lifecycle, mission-focused systems engineering and integration capabilities to the U.S · government and its allies · The company has more than 60 years of proven experience providing advanced engineering and analysis, IT and C5ISR c ...
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Psychologist - $72 per
Found in: Jobget US C2 - 4 days ago
Matrix Providers Colorado Springs, CO, United States Full timeMatrix Providers is seeking a Psychologist for a job in Colorado Springs, Colorado. · Job Description & Requirements · Specialty: Psychologist · Discipline: Therapy · Duration: Ongoing · 40 hours per week · Shift: 8 hours · Employment Type: Staff · Matrix Providers is seeking a C ...
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Specialist Electrical Engineer
Found in: Dice One Red US C2 - 4 days ago
L3Harris Technologies Colorado Springs, CO, United StatesJob Title: Specialist, Electrical Engineer (RF) Job Code: 10342 Job Location: Colorado Springs, CO Job Description L3Harris is seeking an experienced RF engineer to support multiple programs in its Space and Airborne Systems division · The engineer will support sustaining, mainte ...
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Specialist, Software Engineer
Found in: Lensa US 4 C2 - 5 days ago
Harris Geospatial Solutions Colorado Springs, United StatesSr. Specialist, Software Engineer SecretJob Code: 10638Job Location:Colorado Springs, COJob Description:As the premier provider of Space Domain Awareness (SDA) mission solutions for the United States Space Force, L3Harris is looking for a candidate to develop and maintain softwar ...
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Sr. Manager, Engineering Manager Software Engineer COS with Security Clearance
Found in: Dice One Red US C2 - 3 days ago
L3Harris Technologies Colorado Springs, United StatesJob Title: Sr. Manager, Software Engineering Manager Job Code: 10774 Job Location: Colorado Springs, CO Job Description: The Senior Engineering Manager, Software Engineering, leads and directs experienced professionals and lower level supervisors of a group of software engineers, ...
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Sr Specialist, RF Design Electrical Engineer
Found in: Dice One Red US C2 - 4 days ago
L3Harris Technologies Colorado Springs, CO, United States Temps pleinJob Title: Sr Specialist, RF Electrical Engineer - Radar · Job Code: 8985 · Job Location: Colorado Springs, CO · Job Description · L3Harris is seeking a senior professional with strong knowledge of RF engineering to support multiple programs in its Space and Airborne Systems divi ...
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Change Management Specialist with Security Clearance
Found in: Dice One Red US C2 - 5 days ago
ManTech International Colorado Springs, United StatesSecure our Nation, Ignite your Future Become an integral part of a diverse team while working at an Industry Leading Organization, where our employees come first. At ManTech International Corporation, you'll help protect our national security while working on innovative projects ...
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ADA Accessibility Consultant Built Environment
Found in: Lensa US 4 C2 - 6 days ago
JENSEN HUGHES Colorado Springs, United StatesCompany OverviewAt Jensen Hughes, we lead with our Purpose + Principles and value our people. Across our global partnership of experts, clients, and communities, we are recognized worldwide for our leadership in fire protection engineering, a legacy of responsibility we have adva ...
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ADA Accessibility Consultant
Found in: Lensa US 4 C2 - 11 hours ago
JENSEN HUGHES Colorado Springs, United StatesCompany Overview · At Jensen Hughes, we lead with our Purpose + Principles and value our people. Across our global partnership of experts, clients, and communities, we are recognized worldwide for our leadership in fire protection engineering, a legacy of responsibility we have ...
Billing and Coding Specialist - Colorado Springs, United States - Peak Gastroenterology Associates
Found in: Talent US C2 - 1 week ago
Description
Job Summary:
The Billing and Coding Specialist is responsible for supporting the department in maximizing revenue and cash flow by validating ICD and CPT codes, performing charge entries, following up on all outstanding A/R, including resolution of denials, and generating effective written appeals to carriers to maximize reimbursement on incorrectly denied claims. The Billing and Coding Specialist handles all correspondence related to an insurance or patient account, contacting carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes. They utilize training and knowledge to interpret, understand, and apply appropriate coding, apply complex Medicare guidelines to reduce claim denials, and consistently practice established Peak standards and expectations to achieve superior client satisfaction and retention.
Essential Duties and Responsibilities:
Required Skills and Abilities:
